Question about FHIR R4 Coverage resource

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Assigned to sansch...@gmail.com by aaron....@cerner.com

Yu Xu

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Jan 12, 2021, 4:45:06 PM1/12/21
to Cerner FHIR Developers

Hello Cerner Team,

I'm looking at the FHIR R4 Coverage resource data.
Which property corresponds to the Medical Benefit ID of insurance?
Which property corresponds to the Group ID of insurance?

Thank you very much,
Yu

Sydne Anschutz (Cerner)

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Jan 13, 2021, 9:04:24 AM1/13/21
to Cerner FHIR Developers

Hello Yu,

Can you provide a bit of clarification or an example of what you mean by ‘Medical Benefit ID’? 

If you’re referring to the subscriber member number, then the field to look at would be coverage.subscriberId. If you are referring to the patient member number the corresponding field would be coverage.dependent. If the subscriber is the patient, then the subscriberId and dependent would match.

For ‘Group Id’, I would think you are looking for the group number which would be the coverage.class.value, when the coverage.class.type.coding.code is group.

Sydne (Cerner)

Yu Xu

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Jan 13, 2021, 12:08:30 PM1/13/21
to Cerner FHIR Developers
Hi Sydne,

I'll check the property values.
Thank you very much,
Yu

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